Training and Reimbursement Request

Company Information

Don't see your company below? Click here to fill out the company application.

Company Name

Contact First Name

Contact Last Name

Email Address

Phone Number

Training Information

Name of Training / Course

Training/Course Content

If "Other" is chosen, please explain:

Trainer Company Name

Trainer/Instructor Full Name

Trainer Email Address

Trainer Phone Number

Total Cost Amount

Location of Class

Start Date

Start Time

End Date

End Time

Total Course Hours

Total Number of Employees attending

Attendee #1 (upload an employee list below for more than 10 attendees)

First Name

Last Name

Date of Birth

Attendee #2

First Name

Last Name

Date of Birth

Attendee #3

First Name

Last Name

Date of Birth

Attendee #4

First Name

Last Name

Date of Birth

Attendee #5

First Name

Last Name

Date of Birth

Attendee #6

First Name

Last Name

Date of Birth

Attendee #7

First Name

Last Name

Date of Birth

Attendee #8

First Name

Last Name

Date of Birth

Attendee #9

First Name

Last Name

Date of Birth

Attendee #10

First Name

Last Name

Date of Birth

Please upload a list of employees attending including their date of birth

Click here to download preferred employee registration template

Purpose of Training

ExpansionRetention

Has the company already paid the vendor?

YesNo

The following documents must be submitted to STECH's Custom Fit coordinator within 30 days after the training ends to receive 40% reimbursement.

Proof of payment (receipt)
A W-9 (If you have not received a Custom Fit funding previously)
A copy of earned certificate (for certification training only)

Upload Attachment (Brochure of Training, Receipt/Invoice/PO#, W-9)

*All reimbursement requests need to be submitted prior to the first day of the training

Additional Comments/Info

Your request will be processed by a member of the Custom Fit training Team and if it is approved, we will email you a Custom Fit Training Agreement. Funds are not assigned to your company until the signed agreement is received back in our office. If you have any questions please email Custom Fit at customfit@stech.edu.